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The Development of Sexuality over the Lifespan: Implications for STI Control

The Development of Sexuality over the Lifespan: Implications for STI Control. J. Dennis Fortenberry MD MS Indiana University School of Medicine. Lifespan Perspective on Sex and STD Risk – by decade of age. Teens. 30’s. 20’s. Menopause. Puberty. Birth. Death. 1 st sex partner.

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The Development of Sexuality over the Lifespan: Implications for STI Control

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  1. The Development of Sexuality over the Lifespan: Implications for STI Control J. Dennis Fortenberry MD MS Indiana University School of Medicine

  2. Lifespan Perspective on Sex and STD Risk – by decade of age Teens 30’s 20’s Menopause Puberty Birth Death 1st sex partner Subsequent sex partner(s) 1st marriage/cohabitation Subsequent marriage(s/cohabitation(s) 1st STI Subsequent STI(s) 1st and subsequent pregnancy

  3. Within-age group variation in sexuality equals or exceeds between-age group variation

  4. Partner Partner Sexual Satisfaction Partner Partner Relationship Stability Fertility/Regulation Dyad Partner Relationship Satisfaction Partner Partner Partner

  5. Sexual Satisfaction

  6. Sexual Satisfaction • Emotional rather than cognitive • Evaluation of positive and negative dimensions of sexual relationship • Based in social interaction • Shared meaning • Self-assessed role performance • Partner role-performance

  7. Correlates of sexual satisfaction • Inversely correlated to number of partners • Factor in relationship stability and dissolution • Sexual satisfaction higher in monogamous than non-monogamous relationships • Similar in heterosexual, lesbian and gay couples • Higher with both sexual and non-sexual communication

  8. Communication and Sexual Satisfaction - Women Sexual Communication Relationship Satisfaction Sexual Satisfaction Non-Sexual Communication MacNeil & Byers, J. Soc Pers Relationships, 2005

  9. Communication and Sexual Satisfaction - Men Non-Sexual Communication Relationship Satisfaction Sexual Satisfaction Sexual Communication MacNeil & Byers, J. Soc Pers Relationships, 2005

  10. Sexual Frequency and Sexual Satisfaction • Correlated to both relationship and sexual satisfaction • Highest in early weeks/months/years of relationship • Higher frequency of non-coital sex

  11. Sexual DysfunctionPersistent at least Six Months, past Year Mercer et al, BMJ, 2003; Mercer et al., STI, 2005

  12. Relationship Satisfaction

  13. Partner Partner Partner Partner Partner Partner Relationship Stability Dyad Partner Partner Partner Partner Partner Partner

  14. Relationship Investment Marginalized Relationship Relationship Stability Relationship Alternatives Relationship Satisfaction Lehmiller & Agnew, Pers Soc Psych Bull, 2006

  15. Well-Being, by Relationship Status and Relationship Happiness Dush & Amato, J Pers Soc Rel, 2005

  16. Fertility and Fertility Regulation

  17. Fertility, Fertility Regulation and STD Prevention • Fertility Regulation • Fertility and motivations for sex

  18. Event-Specific Pregnancy and STD Prevention Woods et al. J Adolesc Health, in press

  19. Condom use at last coitus – Latino Men * Not significant Ibaňez et al. AIDS & Behav, 2005

  20. WARNING! Graphic images of sex organs on next slide

  21. Conclusion Sex as a prevention solution rather than the prevention problem

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